Schematic illustration of the strategy
for in vivo CAR-macrophage generation and cancer cell eradication via
co-delivery of CAR mRNA and immunostimulants using lipid nanoparticles (LNPs).
Credit: ACS Nano (2025). DOI: 10.1021/acsnano.5c09138
Within tumors in the human body,
there are immune cells (macrophages) capable of fighting cancer, but they have
been unable to perform their roles properly due to suppression by the tumor. A
KAIST research team led by Professor Ji-Ho Park of the Department of Bio and
Brain Engineering have overcome this limitation by developing a new therapeutic
approach that directly converts immune cells inside tumors into anticancer cell
therapies.
How the new therapy works
In their approach, when a drug is
injected directly into a tumor, macrophages already present in the body absorb
it, produce CAR (a cancer-recognizing device) proteins on their
own, and are converted into anticancer immune cells known as
"CAR-macrophages." The paper is published in the journal ACS Nano.
Solid
tumors—such as
gastric, lung, and liver cancers—grow as dense masses, making it difficult for
immune cells to infiltrate tumors or maintain their function. As a result, the
effectiveness of existing immune cell therapies has been limited.
CAR-macrophages, which have
recently attracted attention as a next-generation immunotherapy, have the
advantage of directly engulfing cancer cells while simultaneously activating
surrounding immune cells to amplify anticancer responses.
Overcoming limitations of current therapies
However, conventional
CAR-macrophage therapies require immune cells to be extracted from a patient's
blood, followed by cell culture and genetic modification. This process is
time-consuming, costly, and has limited feasibility for real-world patient applications.
To address this challenge, the
research team focused on "tumor-associated
macrophages" that are already accumulated around tumors.
They developed a strategy to
directly reprogram immune cells in the body by loading lipid nanoparticles—designed to be readily absorbed by macrophages—with
both mRNA encoding cancer-recognition information and an immunostimulant that
activates immune responses.
In other words, in this study,
CAR-macrophages were created by "directly converting the body's own
macrophages into anticancer cell therapies inside the body."
Results and future implications
When this therapeutic agent was
injected into tumors, macrophages rapidly absorbed it and began producing
proteins that recognize cancer cells, while immune signaling was simultaneously
activated. As a result, the generated "enhanced CAR-macrophages"
showed markedly improved cancer cell–killing ability and activated surrounding
immune cells, producing a powerful anticancer effect.
In animal models of melanoma (the
most dangerous form of skin cancer), tumor growth was significantly suppressed,
and the therapeutic effect was shown to have the potential to extend beyond the
local tumor site to induce systemic immune responses.
Professor Ji-Ho Park stated, "This study presents a new concept of immune cell therapy that generates anticancer immune cells directly inside the patient's body," adding that "it is particularly meaningful in that it simultaneously overcomes the key limitations of existing CAR-macrophage therapies—delivery efficiency and the immunosuppressive tumor environment."
Provided by The Korea Advanced Institute of Science and Technology
(KAIST)
Source: Nanoparticle therapy reprograms tumor immune cells to attack cancer from within

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